CLIA lab
CLIA 05D1077480: Bristol Hospice - Sacramento, LLC
Roseville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1077480 belongs to Bristol Hospice - Sacramento, LLC in Roseville, CA.
Certificate of Waiver, effective December 11, 2025, expires December 10, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 11, 2025
- Certificate expiration
- December 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2007
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1077480
- Lab name
- Bristol Hospice - Sacramento, LLC
- Address
- 2140 Professional Dr, Ste 210, Roseville, CA 95661
- Phone
- (916) 782-5511
- Fax
- (916) 782-5635
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Bristol Hospice - Sacramento, LLCCMS Care Compare ratings for the facility at the same street address
Other labs in Roseville, CA
- A Womans PlaceCertificate of Waiver, Physician office05D0915244
- Advanced Home Health and Hospice IncCertificate of Waiver, Home health agency05D2044996
- Advanced Home Health, IncCertificate of Waiver, Home health agency05D1080221
- Advanced Pain Diagnostic & SolutionsCertificate of Accreditation, Physician office05D2065692
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0687002
- Alan Semion IncCertificate of Compliance, Physician office05D0614290
- Allergy Center at SacramentoCertificate of Waiver, Physician office05D2089396
- American Guardian Home Health IncCertificate of Waiver, Home health agency05D2319853
- Anna P Abalos, MD, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D2016784
- Arias Hospice Care IncCertificate of Waiver, Hospice05D2199161
Related
Questions
What is the CLIA number for Bristol Hospice - Sacramento, LLC in Roseville?
05D1077480, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bristol Hospice - Sacramento, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1077480 expire?
The CMS file lists December 10, 2027 as the certificate expiration date; the certificate took effect December 11, 2025.